HEAL RX PHARMACY LLC (NPI# 1386153328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386153328 |
| Entity Type | Organization |
| Organization Name | HEAL RX PHARMACY LLC |
| Practice Address |
14120 Cicero Ave Crestwood IL 60418-2153 |
| Practice Telephone | 7083719900 |
| Practice Fax Number | 7083719901 |
| Mailing Telephone | 7083719900 |
| Mailing Fax Number | 7083719901 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | MRS. SIMA EGHTESAD (PHARMACIST) |
| Authorized Official Telephone | 7082635425 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
051.289936 | Suppliers |
| Street Address |
14120 CICERO AVE |
| City | CRESTWOOD |
| State | IL |
| Zip Code | 60418-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083136477 | Ashley Sage | Behavioral Analyst | 13430 West Circle Drive, Unit 209, Crestwood, IL 60418 | 2017-07-07 |
| 1497847255 | Ebony Nicole Johnson | Family Medicine | 4742 Cal Sag Rd, Crestwood, IL 60418 | 2006-09-29 |
| 1215372404 | Malak Elsheikh | Internal Medicine | 13755 Cicero Ave, Crestwood, IL 60418 | 2013-05-02 |
| 1356591549 | Luciano Fochesatto Filho | Internal Medicine | 13755 Cicero Ave, Crestwood, IL 60418 | 2008-09-24 |
| 1538603329 | Megan Kateri Valesey | Behavioral Analyst | 12745 Central Ave, Crestwood, IL 60418-1130 | 2016-12-13 |
| 1720581143 | Manjhoni Edmondson | Counselor | 5305 Pleasant Ln, Crestwood, IL 60418-1159 | 2018-03-12 |
| 1194228429 | Illinois Supreme Health Organization | Community/Behavioral Health | 5305 Pleasant Ln, Crestwood, IL 60418-1159 | 2018-03-13 |
| 1962974782 | Chloe Haberkorn | Optometrist | 5247 131st St, Crestwood, IL 60418-1255 | 2018-12-18 |
| 1265060396 | Kaitlin Marie Featherstone | Student in an Organized Health Care Education/Training Program | 13217 E Playfield Dr, Crestwood, IL 60418-1303 | 2020-04-01 |
| 1982256632 | Laureate Crestwood Operations LLC | Skilled Nursing Facility | 13301 Central Ave, Crestwood, IL 60418-1370 | 2019-07-12 |
| Find all providers in zip 60418 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871697722 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 6425 W Highway 146, Crestwood, KY 40014-9575 | 2006-09-12 |
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| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.